Individual
DR. VIDYA C. SRIDHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
602 HIGH HAMPTON DR, MARTINEZ, GA 30907-9151
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26393
GA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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